15
Seizures and Sleep
MELINDA TRIMBLE
NOTE: This chapter corresponds to Chapter 18 in Fundamentals of Sleep Technology, 2nd edition.
1. A sensation experienced by some people with epilepsy before a seizure is:
A. Ictal activity
B. An aura
C. Generalized epilepsy
D. Clonic activity
2. A sudden abnormal discharge of electrical activity of the brain usually affecting how a person acts or feels for a short time is:
A. Epilepsy
B. A seizure
C. Phantom spike and wave
D. Electrical paroxysm
3. Generalized discharges and clinical seizures mostly occur in:
A. Overlap syndromes
B. REM sleep
C. NREM sleep
D. Narcoleptics
4. Patients with primary generalized myoclonic seizures are most likely to have them:
A. At sleep onset
B. In the transition from N2 to REM
C. On awakening
D. During REM sleep
5. Three per second spike and wave discharges are typically associated with:
A. Brief episodes of unresponsiveness
B. Complex nocturnal wanderings
C. Loss of muscle tone and dropping to the floor
D. Tonic–clonic activity lasting more than 3 minutes
6. Benign focal epilepsy of childhood is associated with abnormal EEG discharges originating:
A. In the frontal lobe
B. Centrotemporally
C. From multiple areas in the occipital lobe
D. In the orbitofrontal area
7. Nocturnal seizures with paroxysmal arousal, dystonia, or episodic nocturnal wandering are classified as subgroups of:
A. Benign focal epilepsy of childhood
B. Nocturnal frontal lobe epilepsy
C. Lennox-Gastaut syndrome
D. Electrical status epilepticus of sleep
8. A 10-year-old boy has generalized spike and wave complexes in his EEG tracing. Spike waves are present in 90% of stage N3 sleep, but are much less during wake and REM sleep. What is the most likely diagnosis?
A. Benign focal epilepsy of childhood
B. Nocturnal frontal lobe epilepsy
C. Lennox-Gastaut syndrome
D. Electrical status epilepticus of sleep
9. The most commonly used treatment for seizures is:
A. Medication
B. Behavioral therapy
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